Evidence map›Paper›PMID 22581001›Full record

ArticleHaematologica2012

Time point-dependent concordance of flow cytometry and real-time quantitative polymerase chain reaction for minimal residual disease detection in childhood acute lymphoblastic leukemia.

Giuseppe Gaipa, Giovanni Cazzaniga, Maria Grazia Valsecchi, Renate Panzer-Grümayer, Barbara Buldini, Daniela Silvestri, Leonid Karawajew, Oscar Maglia, Richard Ratei, Alessandra Benetello and 11 more

Open access · goldAbstract readComparative Study
In one paragraph

Article in Haematologica, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 1 pooled it
6.3field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

45 citing papers in PubMed, 1 synthesis or guideline pooled it, 107 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Next-Generation Sequencing in Adult B Cell Acute Lymphoblastic Leukemia Patients.Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation · 2017
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  19. Clinical Value of Measurable Residual Disease in Acute Lymphoblastic Leukemia.Blood and lymphatic cancer : targets and therapy · 2022
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

21 authors at 7 institutions in 3 countries.

Giuseppe GaipaM Tettamanti Research Center, Pediatric Clinic University of Milano Bicocca, Monza, Italy.
Giovanni Cazzaniga
Maria Grazia Valsecchi
Renate Panzer-Grümayer
Barbara Buldini
Daniela Silvestri
Leonid Karawajew
Oscar Maglia
Richard Ratei
Alessandra Benetello
Simona Sala
Angela Schumich
Andre Schrauder
Tiziana Villa
Marinella Veltroni
Wolf-Dieter Ludwig
Valentino Conter
Martin Schrappe
Andrea Biondi
Michael N Dworzak
Giuseppe Basso
University of Milano-Bicocca · ITSt Anna Children's Hospital · ATUniversity of Padua · ITCharité - Universitätsmedizin Berlin · DEMeyer Children's Hospital · ITMSB Medical School Berlin · DEUniversity of Bergamo · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFlow cytometric analysis of leukemia-associated immunophenotypes and polymerase chain reaction-based amplification of antigen-receptor genes rearrangements are reliable methods for monitoring minimal residual disease. The aim of this study was to compare the performances of these two methodologies in the detection of minimal residual disease in childhood acute lymphoblastic leukemia. DESIGN AND

methodsPolymerase chain reaction and flow cytometry were simultaneously applied for prospective minimal residual disease measurements at days 15, 33 and 78 of induction therapy on 3565 samples from 1547 children with acute lymphoblastic leukemia enrolled into the AIEOP-BFM ALL 2000 trial.

resultsThe overall concordance was 80%, but different results were observed according to the time point. Most discordances were found at day 33 (concordance rate 70%) in samples that had significantly lower minimal residual disease. However, the discordance was not due to different starting materials (total versus mononucleated cells), but rather to cell input number. At day 33, cases with minimal residual disease below or above the 0.01% cut-off by both methods showed a very good outcome (5-year event-free survival, 91.6%) or a poor one (5-year event-free survival, 50.9%), respectively, whereas discordant cases showed similar event-free survival rates (around 80%).

conclusionsWithin the current BFM-based protocols, flow cytometry and polymerase chain reaction cannot simply substitute each other at single time points, and the concordance rates between their results depend largely on the time at which they are used. Our findings suggest a potential complementary role of the two technologies in optimizing risk stratification in future clinical trials.

Indexed as

Flow CytometryReal-Time Polymerase Chain ReactionAdolescentChildChild, PreschoolHumansInfantNeoplasm, ResidualPrecursor Cell Lymphoblastic Leukemia-LymphomaReproducibility of ResultsSensitivity and Specificity

Identifiers

PMID22581001
PMCPMC3487561
OpenAlexW2039149330

What OpenQuestion holds

Textmetadata
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.